| NPI | 1235747783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012197) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008761) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 39599) | |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 5253) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2020029629) | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2025-11-12 |